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For 5-years the Longitudinal Study on the Effect of Noise Exposure and Aging to the Changes of Hearing Threshold Level

청력에 대한 연령과 소음 노출의 영향에 관한 5년간 청력역치 변화

  • Chae, Chang Ho (Department of Occupational and Environmental Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Ja Hyun (Department of Occupational and Environmental Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Son, Jun Seok (Department of Occupational and Environmental Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
  • 채창호 (성균관대학교 의과대학 삼성창원병원 직업환경의학과) ;
  • 김자현 (성균관대학교 의과대학 삼성창원병원 직업환경의학과) ;
  • 손준석 (성균관대학교 의과대학 삼성창원병원 직업환경의학과)
  • Received : 2015.10.06
  • Accepted : 2015.12.12
  • Published : 2015.12.31

Abstract

Objectives: This study was carried out to evaluate the effect of noise exposure and aging on changes in hearing threshold level and the relationship between age and noise. Materials: The author selected 274 male shipyard and assembly line workers as the noise exposed group and 582 males not exposed to noise as the general population group. Data were collected from five years of consecutive annual audiometric tests performed from 2008 to 2012. Results: In the general population and noise exposed groups, there was a reverse phenomenon that hearing threshold level for 2009 was lower than that of 2008, which seemed to be due to the learning effect, but from 2010 hearing threshold level increased. In the noise exposed group, the mean hearing threshold level in the left ear was significantly higher than that for right ear. In the general population group, the older was the age, the higher was the hearing threshold level, especially at 4000 Hz. In the general population and noise exposed groups, frequency, age group and noise exposure independently affected hearing threshold level, and there was no relationship between age and noise exposure. Over all frequencies, the change of hearing threshold level was larger in the noise exposed group than in the general population group. In the noise exposed group below thirty years old, the change at 4000 Hz was remarkable. Conclusions: Age and noise exposure seem to affect hearing threshold level independently and contribute to an additive effect on hearing threshold level.

Keywords

References

  1. American National Standards Institute. Maximum permissible ambient noise levels for audiometric test rooms. ANSI S3.1.;1999. p. 1-16
  2. Axelsson A, Aniansson G, Costa O. Hearing loss in school children. A longitudinal study of sensorineural hearing impairment. Scand audiol 1987;16(3):137-143 https://doi.org/10.3109/01050398709042168
  3. Ballenger JJ. Disease of nose, throat, ear, head and neck. 14thed Pliadelphia. Lea&Febiger.;1991. p. 1053-1068
  4. Cho BM, Park JO. The changes of hearing threshold level in noise-exposed workers. Korean J Occup Environ Med 1994;6(1):32-41
  5. Chung DY, Mason K, Gannon RP. The ear effect as a function of age and hearing loss. J Acoust Soc Am 1983;73(4):1277-1282 https://doi.org/10.1121/1.389276
  6. Corso JF. Age correction factor in noise induced hearing loss: A quantitative model. Audiology 1980;19(3): 221-232 https://doi.org/10.3109/00206098009072664
  7. Cruickshanks KJ, Tweed TS, Wiley TL, Klein BE, Klein R et al. The 5-year incidence and progression of hearing loss: the epidemiology of hearing loss study. Arch Otolaryngol Head Neck Surg 2003;129(10):1041-1046 https://doi.org/10.1001/archotol.129.10.1041
  8. Goldner AJ. Deafness in shipyard workers. AMA Arch Otolaryngol 1953;57(3):287-309 https://doi.org/10.1001/archotol.1953.00710030307005
  9. Hermann ER. An audiometric approach to noise control. Am Ind Hyg Assoc J 1963;24:344-356 https://doi.org/10.1080/00028896309343229
  10. Henderson D, Subramian M, Boettcher FA. Individual susceptibility to noise induced hearing loss: an old topic revisited. Ear Hear 1993;14(3):152-168 https://doi.org/10.1097/00003446-199306000-00002
  11. Howell RW, Hartley BP. Variability in audiometric recording. Br J Ind Med 1972;29(4):432-435
  12. Kamal AA, Mikael RA, Fairs R. Follow up of hearing thresholds among forge hammering workers. Am J Ind Med 1989;16(6):645-658 https://doi.org/10.1002/ajim.4700160604
  13. Korea Ministry of Employment and labor. 2013 Korea worker's health check results. KOSHA;Ulsan.;2014a. p. 100-176
  14. Korea Ministry of Employment and Labor. 2014 Manufacture workplace survey(2014-Health-1070). KOSHA;Ulsan.;2014b. p.219-237
  15. Korea Occupational Safety and Health Agency(KOSHA). Standards for pure tone audiometric testing(KOSHA Guide H-56-2014). KOSHA;Ulsan.;2014. p.1-11
  16. Kim JY, Lim HS, Cheong HK, Moon OR. A study on diagnostic criteria of noise-induced hearing loss among workers in an iron foundry. Korean J Prev Med 1993;26(3):371-386
  17. Kim KS, Lee JH, Cho BM, Yang SR, Kim OK et al. Evaluation and prediction of hearing thresholds in noise exposed worker. Korean Academy of Audiology 2005;1:67-79
  18. Kim S, Lim EJ, Kim HS, Park JH, Jarng SS et al. Sex differences in a cross sectional study of age-related hearing loss in Korean. Clin Exp Otorhinolaryngol 2010;3(1):27-31 https://doi.org/10.3342/ceo.2010.3.1.27
  19. Lee JH. Occupational disease of noise exposed worker. Hanyang med Rev 2010;30(4):326-332 https://doi.org/10.7599/hmr.2010.30.4.326
  20. Lee JH, Lee CY, Yoo CI, Yaang SR, Kim OH et al. The effect of noise exposure and age on the changes of group mean hearing threshold level. Korean J Occup Environ Med 1999;11(2):137-152
  21. Lee JH, Kim JS, Oh SY, Kim KS, Cho SJ. Effects of age on hearing thresholds for normal adults. Korean J Audiol 2003;7(1):15-23
  22. Lee YH. A survey on the changes in industrial noisy environment and hearing loss of workers. Korean J Prev Med 1989;22(3):337-354
  23. Lim HS, Kim H, Jung HK. A study on the status of management among workers diagnosed as hearing loss in an iron foundry. Korean J Occup Environ Med 1992;4(2):190-198
  24. Macrae JH. Noise induced hearing loss and presbycusis. Audiology 1971;10(5):323-333 https://doi.org/10.3109/00206097109072569
  25. Mills J. Noise induced hearing loss. Philadelphia, Mosby year book.;1992. p. 237-245
  26. Paik DM. Occupational diseases, its recognition and diagnosis - A review on the current practice in Korea. Korean Journal of Public Health 1993;30(1):73-84
  27. Palmer KT, Griffin MJ, Syddall HE, Pannett B, Cooper C et al. Raynaud's phenomenon, vibration induced white finger and difficulties in hearing. Occup Environ Med 2002;59(9):640-642 https://doi.org/10.1136/oem.59.9.640
  28. Pirila T, Jounio-Ervasti K, Surri M. Left-right asymmertries in hearing threshold levels in three age groups of a random population. Audiology 1992;31(3):150-161 https://doi.org/10.3109/00206099209072910
  29. Prince MM. Distribution of risk factors for hearing loss: implications for evaluating risk of occupational noise-induced hearing loss. J Acoust Soc Am 2002; 122(2):557-567
  30. Robert A. Prevention of Noise-Induced Hearing Loss. Arch Otolaryngol Head Neck Surg 1995;121(4):385-391 https://doi.org/10.1001/archotol.1995.01890040011002
  31. Robinson DW, Shipton MS, Whittle LS. Audiometry in industrial hearing conservation-II. J Occup Environ Med;1976. p. 432
  32. Royster JD, Royster LH. Using audiometric data base analysis. J Occup Med 1986;28(10):1055-1068 https://doi.org/10.1097/00043764-198610000-00029
  33. Simpson TH, Mcdonald D, Stewart M. Factors affecting laterality of standard threshold shift in occupational hearing conservation program. Ear Hear 1993;14(5): 322-331 https://doi.org/10.1097/00003446-199310000-00003
  34. Toppila E, Pyykko I, Starck J. Age and noise induced hearing loss. Scand Audiol 2001;30(4):236-244 https://doi.org/10.1080/01050390152704751
  35. Won JU, Ahn YS, Roh JH. The effects of adjustment on the diagnosis of noise induced hearing loss. Korean J Prev Med 1995;28(3):651-662